DR. JOHN E HELLER (NPI# 1548384886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548384886 |
| Entity Type | Individual |
| Full Name | DR. JOHN E HELLER |
| Credential | MD |
| Practice Address |
1805 Hennepin Ave N Glencoe MN 55336-1416 |
| Practice Telephone | (320) 864-3121 |
| Practice Fax Number | 3208647887 |
| Mailing Telephone | (320) 864-3121 |
| Mailing Fax Number | 3208647887 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2017-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 29574 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA | 1916934 | 01 |
| MN | BLUE SHIELD | 17683HE | 01 |
| MN | 652077400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528025228 | John G Heller | Orthopaedic Surgery | 59 Executive Park South Ne, Ste 3000, Atlanta, GA 30329 | 2006-04-27 |
| 1992292064 | John Helendro Heller Iv | Student in an Organized Health Care Education/Training Program | Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2018-04-15 |
| 1366985632 | John Wesley Heller | Physical Therapist | 4318 Spyres Way, Modesto, CA 95356-9259 | 2016-11-18 |
| 1982676987 | John C Heller | Anesthesiology | One Ingalls Drive, Ingalls Memorial Hospital, Harvey, IL 60426 | 2006-02-03 |
| Street Address |
1805 HENNEPIN AVE N |
| City | GLENCOE |
| State | MN |
| Zip Code | 55336-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487647822 | Robert A Larter | Nurse Anesthetist, Certified Registered | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2005-08-30 |
| 1285120477 | Nicole Nash | Registered Nurse | 1805 Hennepin Ave N, Glencoe, MN 55336 | 2018-07-10 |
| 1750899209 | Lindsay Jo Mccain | Physician Assistant | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2018-01-18 |
| 1265951339 | Logan Becker | Nurse Anesthetist, Certified Registered | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2017-09-11 |
| 1083081582 | Patricia Jeanette De Loyal | Physician Assistant | 1805 Hennepin Ave N, Glencoe, MN 55336 | 2015-09-01 |
| 1477938058 | Abigail Frericks Bennett | Physician Assistant | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2015-07-24 |
| 1619357167 | Michele Schuberg | Nurse Practitioner | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2015-05-30 |
| 1225435746 | Jennifer Keltgen | Physical Therapist | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2014-11-26 |
| 1134526650 | Kelsey Nowak | Physical Therapist | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2014-11-26 |
| 1396142089 | Jennifer Keenan | Physical Therapist | 1805 Hennepin Ave N, Glencoe, MN 55336-1416 | 2014-11-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316429160 | Lisa M Thompson | Speech-Language Pathologist | 2105 Hennepin Avenue North, Glencoe, MN 55336 | 2018-08-29 |
| 1609207943 | Sherry Sue Henkelmann | Respite Care | 7768-160th St., Glencoe, MN 55336 | 2013-12-12 |
| 1528277449 | Kelly Jo Higgins | Pharmacist | 2211 11th St. E., Glencoe, MN 55336 | 2007-05-21 |
| 1124180450 | Randy Robert Johnson | Chiropractor | 1706 East Tenth Street, Gauer Chiropractic Clinic, Glencoe, MN 55336 | 2006-12-14 |
| 1790863751 | Merrill D Nelson | Dentist | 1015 Greeley Ave, Glencoe, MN 55336 | 2006-11-01 |
| 1902982481 | Michelle Marie Quale | Registered Nurse | 1805 Hennepin Ave. North, Glencoe Regional Health Services, Glencoe, MN 55336 | 2006-10-27 |
| 1417912122 | Lee Medical Inc | Durable Medical Equipment & Medical Supplies | 1209 Greeley Avenue, Glencoe, MN 55336 | 2006-04-18 |
| 1154319705 | Kristine Leonard Knudten | Family Medicine | 1805 Hennepin Ave North, Glencoe, MN 55336 | 2005-10-07 |
| 1841640091 | Rachael Stoebe | Hearing Instrument Specialist | 2915 10th St E, Glencoe, MN 55336 | 2016-06-20 |
| 1417149113 | Bryan James Fritsch | Internal Medicine | 1805 Hennepin Ave. North, Glencoe Regional Health Services, Glencoe, MN 55336 | 2007-08-16 |
| Find all providers in zip 55336 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939286 | Joseph Marconni Sewell Araya | Urology | 11920 Baypoint Dr, Burnsville, MN 55337-3367 | 2020-10-12 |
| 1922599737 | Subodh Kumar Regmi | Urology | Department of Urology, University of Minnesoata, 420 Delaware St S.e., Mmc 394, Minneapolis, MN 55455 | 2018-05-29 |
| 1700281953 | Centracare Clinic | Urology | 2351 Connecticut Ave S, Suite 200, Centracare Clinic- Adult & Pediatric Urology, Sartell, MN 56377-2477 | 2014-10-30 |
| 1154734127 | Abhinav Khanna | Urology | 200 First Street Nw, Rochester, MN 55905-0001 | 2014-06-08 |
| 1427476662 | Khushabu Kasabwala | Urology | 420 Delaware St. S. E., Mmc 394, Minneapolis, MN 55455 | 2014-04-04 |
| 1518302181 | Daniel Liberman | Urology | 420 Delaware Stre Se, Suite B435, Institute for Prostrate and Urologic Cancers, Minneapolis, MN 55455-0341 | 2013-05-08 |
| 1386981637 | Urology Associates, Ltd. | Urology | 244 7th Street North, Mora, MN 55051 | 2013-01-07 |
| 1831445691 | Urology Associates, Ltd. | Urology | 111 Hundertmark Rd Ste 410, 212 Medical Building, Chaska, MN 55318-1458 | 2012-07-31 |
| 1841590593 | Hakim Medical Enterprises, P.a. | Urology | 2963 Fairchild Ave, Wayzata, MN 55391-2956 | 2010-10-28 |
| 1164747085 | Joseph Robert Nelson Zabell | Urology | 6363 France Ave S Ste 500, Edina, MN 55435-2135 | 2010-04-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.